---

This free service will enable you, the Buyer, to get Approved, not just Pre-Qualified to purchase a home in Kansas City. This can greatly increase your negotiating power on any home in Kansas City. Please answer all questions accurately. ALL INFORMATION WILL BE KEPT CONFIDENTIAL! Again, this service is free! And is available within 24 hours! If you have questions, please feel free to contact me at 1-800-467-0031, or locally in Kansas City at 913-312-3606.

Name #1:		Name #2:
Address:		Apt. #: State & Zip:
City:		Eve. Ph:
Day Ph:		Email:
Fax:
Social Security #1: Social Security #1:
Year of Birth #1: Year of Birth #2:
New Mortgage? Yes No
Refinance? Yes No
Type Mortgage Desired: Choose one: Conventional VA/FHA
Annual Household Income:
MonthlyDebt Payments: (minus current mortgage.)
Funds available to close:
Preferred Down Payment: Choose one: Zero down 5% down 10% down 20%+ down
Yrs. in present employment: Choose one: less than 2 years More than 2 years
Has there been a bankruptcy or foreclosure in the last 2 years? Yes No
Is there additional information you feel would be important? If so, please include:
Enter this security code in box: